2017 INSTRUCTION MANUAL - HPO

H.I.P.E.

Hospital In-Patient Enquiry

2017

INSTRUCTION MANUAL

For use with the HIPE Portal

01.01.2017

V1.1

Healthcare Pricing Office

INSTRUCTIONS FOR THE CODER

Before you begin, make sure you have the following (which are available from the Healthcare Pricing Office):

8th Edition ICD-10-AM/ACHI/ACS classification:

5 Volume book set or Turbo Coder

ICD-10-AM/ACHI/ACS training material (as issued at training courses)

HIPE Instruction Manual

Irish Coding Standards

Record summary sheets (if required)

Also have for reference

Medical Dictionary e.g. Dorland’s

M.I.M.S. - Index of Drugs

For definitions of all HIPE variables please refer to the

HIPE Data Dictionary, at www.hpo.ie

HIPE Support

ICD-10-AM Clinical Coding Queries: Please submit by email with as much detail as possible to [email protected] HIPE Data Requests & Statistics: To access HIPE information please email: [email protected] with details of your information requirements. HIPE Software Support: Queries relating to HIPE software can be submitted to [email protected] HIPE Training Requests & Queries: Any queries relating to HIPE training can be submitted to [email protected] HIPE Exports: To be submitted monthly via email to [email protected] See page 22 for list of export dates in 2017 Contact Details: Healthcare Pricing Office The Brunel Building Heuston South Quarter St. John’s Road West Dublin 8

Website: www.hpo.ie

E-mail: [email protected] Fax No.; 01-7718414

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

ICD-10-AM Code

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Hospital In-Patient Enquiry (HIPE) Summary Sheet

For use with HIPE on ALL DISCHARGES FROM 01.01.2017

FOR LOCAL COLLECTION ONLY

*Name:______________________

*Address:____________________

____________________________

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/ /

Case entered on HIPE:

Source: Healthcare Pricing Office

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[ ]

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PDX = The diagnosis established after study to be chiefly responsible for occasioning the patient’s episode of care in hospital (ACS 0001)

Principal Diagnosis (PDX)

Consultant #

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Specialty

Procedure/Intervention Codes Block No.

Principal Procedure

Consultant # Consultant

Anaesthetist #

(1)

(2)

(3)

(4)

(5)

For

use

on

all

dis

char

ges

fro

m

01

.01

.20

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* Patient Name, Address, full DOB, and GMS number are currently not exported to the HPO. Collected only at hospital level.

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Date of Procedure

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/ /

/ / Up to 20 procedure codes may be entered.

Hospital Acquired Dx

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| | | | Up to 30 diagnoses codes may be entered.

MRN

Sex

Admission Date

Discharge Date

Date of Birth

Type (priority) of Admission

/ /

Admission Source

Discharge Code

Area of Residence

Marital /Civil Status

Discharge Status

Medical Card

*GMS Number

Health Insurer

Parity

/ /

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| | | Admitting Ward

Discharge Ward

Transfer from

Transfer to

Day Case

Day Ward

Day Ward ID

Infant Admit Weight (grams)

Temp Leave Days

Date of Transfer to rehab/PDU

Days in a Private Bed

Days in a Semi-Private Bed

Days in a Public Bed

Days (or part there of) in ICU

Up to 10 Intensive Care consultants may be recorded

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Admitting Consultant Discharge Consultant

Primary Consultant

Intensive Care Consultant

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+ Still Live

# More than one consultant can be recorded.

Admission Time _ _ : _ _

Discharge Time _ _ : _ _

Patient’s Hospital of Discharge | | |

Hospital Ref No. For HPO Use: | |

Specialty of Discharge Consultant

W/List If Type=1-2

Mode If Type=4,5,7

Type of Elective Adm

If Type=1-2

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Single Multiple Total

Days in a Critical Care Bed

^ HADx flag can be assigned for PDx in Neonates on the birth episode only.

^

Medical Discharge Date

/ /

1. Patient’s Hospital of Discharge: The code of the hospital that the patient is under the care of using the four digit Hospital Code List (see full listing on page 16-17).

2. Chart Number: Up to 7 characters allowed. If less than 7, place zeros before the chart number (or case reference number). Up to 2 alpha characters allowed, again place these before the chart number and in the first position(s).

3. Date of Admission: Enter day, month and year in appropriate boxes, inserting zeros where necessary.

e.g. 1st March 2017 =

3a. Time of Admission: The time of admission in the 24 hour format for the patient will be collected for all patients discharged from hospital. The time of admission will be the time, as recorded on the PAS, the patient was admitted to a ward as either a daycase or an inpatient.

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01 03 2017

HIPE collects information on in-patient and day patient activity from participating

hospitals. A HIPE discharge record is created when a patient is discharged from (or dies

in) hospital. This record contains administrative, demographic and clinical information for

a discrete episode of care. An episode of care begins at admission to hospital and ends at

discharge from (or death in) that hospital.

This manual provides instruction on the capture of administrative and demographic data

for each HIPE discharge record. Clinical data are captured in accordance with the

classification and associated standards.

HIPE Instruction Manual

All variables listed are for collection for discharges from 01.01.2017. When reviewing HIPE data for previous years, please refer to the Instruction Manual for the relevant period.

The arrow beside a field below refers to items downloaded by the PAS where

available. These fields must always be verified against the information in the chart.

All HIPE Data are subject to Audit (including chart based reviews)

“Type” of Waiting List category

When a user indicates that the admission type is either 1- Elective or 2 - Elective Readmission a display box appears on the screen to ask if the case is funded by the National Treatment Purchase Fund (NTPF).

0 – Not NTPF 1 – Yes NTPF

Mode of Emergency Admission

This information indicates where the patient was treated immediately prior to being admitted into the hospital as an inpatient or when the patient was treated only in a registered Acute Medical Assessment Unit* (AMAU).

When the user chooses a Type of Admission: Emergency or Newborn, a display box presents the options of:

1 ED (Emergency Department) of the admitting hospital

2 AMAU Admitted as Inpatient.

This code is assigned if the patient is admitted as an emergency to the hospital through the AMAU.

3 Other

4 Unknown

5 AMAU Only : This code is assigned if the patient is admitted as an emergency to the AMAU and discharged from there.

6 Local Injury Unit: Admission directly from a HSE listed Local Injury Unit

Note: Once an AMAU has been registered with the Healthcare Pricing Office ensure that [email protected] have activated this field for collection.

*Also includes AMU/MAU . Mode of emergency admission for AMAU cases can only be 2 – AMAU Admitted as inpatient or 5 – AMAU Only

Admission codes Type of Admission This indicates the priority of the admission

Elective MAU Admissions: Elective admissions to registered MAUs are not reported to HIPE, this activity is to be reported as Outpatient Activity.

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4. Type of Admission 1 Elective The patient's condition permits adequate time

to schedule the availability of suitable services. An elective admission may be delayed without substantial risk to the health of the individual.

2 Elective Readmission Patient admitted electively to continue ongoing treatment or care.

4 Emergency The patient requires immediate care and

treatment as a result of a severe, life threatening or potentially disabling condition. Generally, the patient is admitted through the Emergency Department.

5 Emergency Readmission This is an unscheduled readmission following a

previous spell of treatment in the same hospital and relating to the treatment or care previously

given.

6 Maternity The patient is admitted related to their

obstetrical experience. (From conception to 6 weeks post delivery).

Collection of the patient’s parity is mandatory for

this Admission Type – see pg. 14 for further details.

7 New born (0-27 days) Neonate admitted to hospital for care or

observation. Type of admission ‘7’ will be used for patients up to the age of 28 days (0-27 days old) who are admitted to the hospital as an emergency or where the admission is unplanned.

Note: Any other neonatal patients (0-27 days old) admitted routinely will be assigned the regular booked admission type.

“Type” of Elective Admission

When the admission type is either 1- Elective or 2 - Elective Readmission the Type of Elective Admission is also required to indicate if the elective admission is from a waiting list or is a planned admission. It is coded as:

1 - Planned Admission

2 - Admission from Waiting List

3 - Unknown

5. Source of Admission - Where the patient was prior to admission. 1 Home 2 Transfer from nursing home/convalescent home or other long stay accommodation 3 Transfer of admitted patient from Hospital in Hospital code list or transfer from any Acute

Hospital not specified in Hospital Code Listing (see pages 16 – 17 in this manual).

4 Transfer from Non-Acute Hospital

5 Transfer from hospice 6 Transfer from psychiatric hospital/unit

7 New born 8 Temporary place of residence (e.g. hotel) 9 Prison 0 Other

6. Date of Discharge Enter the appropriate date in the appropriate boxes inserting zeros where necessary. e.g. 10th March 2017 = Where a patient is discharged from the same hospital more than once in the same day,

these episodes are consolidated into one discharge record for HIPE purposes. 6a. Time of Discharge The time of discharge, in the 24 hour format, for the patient will be collected for all patients,

both daycases and inpatients, discharged from hospital. The time of discharge will be the time, as recorded on the PAS, that the patient was discharged.

7. Discharge codes identify the discharge destination 00 - Self discharge 01 - Home 02 - Nursing home, convalescent home or long stay accommodation 03 - Emergency Transfer to Hospital in Hospital Code Listing or transfer to any Acute Hospital not specified in Hospital Code Listing (see pages 16 – 17 in this manual). 04 - Non Emergency Transfer to Hospital in Hospital Code Listing or transfer to any Acute Hospital

not specified in Hospital Code Listing (see pages 16 – 17 in this manual). 05 - Transfer to psychiatric hospital/unit 06 - Died with post mortem 07 - Died no post mortem 08 - Emergency Transfer to Non-Acute hospital 09 - Non Emergency Transfer to Non-Acute hospital 10 - Transfer to external rehabilitation facility

11 - Hospice 12 - Prison

13 - Absconded 14 - Other (e.g. Foster care) 15 - Temporary place of residence (e.g. hotel)

10 03 2017

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When the coder enters a transfer (03 or 04) as a discharge code the system will respond with a request to

identify the hospital in question. This hospital may be entered by a 4-digit code number from the Hospital

Code List (See pull down menu on PC or listing at the end of this instruction manual).

When the coder enters a transfer (3) as a source of admission the system will respond with a request to

identify the hospital in question. This hospital may be entered as a 4-digit code from the Hospital Code

List (See pull down menu on PC or listing on page 16 of this instruction manual).

8. Date of Birth

The date of birth is stored as 8 digits (dd/mm/yyyy). It is possible to key the last two digits of the year (yy) and the software will convert this to a year this century (20yy). If the date of birth is unknown the year must be estimated and entered with the day and month being keyed as 00/00 e.g. 1981 = 00/00/1981.

The full date of birth is collected only at hospital level. Full details are not currently exported to the HPO.

9. Infant Admission Weight

For patients aged less than 1 year of age, admission weight is collected in grams in the following circumstances:

Required for all neonates (0-27 days old)

Required for infants up to 1 year of age with an admission weight less than 2,500 grams.

The value collected will be the weight in whole grams on admission. If the patient is admitted on the day of birth, the admission weight will be the birth weight.

10. Sex

Enter appropriate code:

1 - Male

2 - Female

(3 - Unknown) Rare and Unlikely

11. Marital /Civil Status

Enter appropriate code: 1 – Single 5 – Unknown 9 – Surviving Civil Partner 2 – Married 6 – Divorced 3 – Widowed 7 – Civil Partner 4 – Other (includes Separated) 8 – Former Civil Partner

12. Medical Card Indicator

This relates to the patient’s eligibility and not to the status of bed used by the patient during the stay in hospital. If the patient has full eligibility for health services and has a medical card, the coder will enter the appropriate code

0 - No 1 - Yes 2 – Unknown

13. GMS Patient Number

If a coder enters 1 (Yes) in the medical card indicator field they will then enter the GMS (General Medical Services/Medical Card) number for the patient. If the coder does not know the GMS Patient Number they can enter n/a into this field. The GMS Patient Number will only be collected locally at hospital level. This information is not currently exported to the HPO.

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Area of Residence The area of residence code identifies the place where the person would normally reside, i.e. 'home address'. Foreign nationals now resident in this country would have a code assigned for where they now live in Ireland. Foreign visitors here for short stays would be coded to the country where they normally reside.

No fixed abode 0000

Ireland Europe County Code Country Code Carlow 0500 Austria 3318

Cavan 2900 Belgium 3301

Clare 1600 Bulgaria 3331

Cork (City) 1101 Croatia 3333

Cork (County) 1200 Cyprus 3321

Donegal 2800 Czech Republic 3322

North Dublin City & County 0100 Denmark 3302

South Dublin City & County 0200 England 3303

Galway (City) 1801 Estonia 3323

Galway (County) 1900 Finland 3316

Kerry 1300 France 3304

Kildare 0300 Germany 3305

Kilkenny 0700 Greece 3306

Laois 2500 Hungary 3324

Leitrim 2600 Italy 3308

Limerick (City) 1401 Latvia 3325

Limerick (County) 1500 Lithuania 3326

Longford 2200 Luxembourg 3309

Louth 3100 Malta 3327

Mayo 2100 Norway 3317

Meath 3200 Poland 3328

Monaghan 3000 Portugal 3314

Offaly 2400 Romania 3332

Roscommon 2000 Scotland 3311

Sligo 2700 Slovak Republic 3329

Tipperary (includes Tipperary North and South Riding

1708 Slovenia 3330

Waterford (City) 0901 Spain 3313

Waterford (County) 1000 Sweden 3315

Westmeath 2300 Switzerland 3319

Wexford 0600 The Netherlands (Holland) 3307

Wicklow 0400 Wales 3320

All other European 3350

Northern Ireland 3310 Rest of the World

Africa 3400

America North and Canada 3501

America South, Central and The Caribbean 3502

Asia, Middle East, Far East & South East Asia 3600

Australia, New Zealand & Oceania 3700

14.

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Dublin HIPE Postal Districts* North Dublin – 0100 (all odd numbered postal codes) South Dublin – 0200 (all even numbered postal codes) For further specificity a patient’s own Dublin postal codes may be incorporated into these codes, 0100 & 0200. Please see the list of examples below.

Address Code Address Code Address Code Arbour Hill (7) 0107 Darndale (17) 0117 Monkstown 0200 Artane (5) 0105 Dartry (6) 0206 Mt. Merrion 0200 Baily (13) 0113 Deans Grange 0200 Mulhuddart (15) 0115 Balbriggin 0100 Dollymount (3) 0103 Neilstown (22) 0222 Baldoyle (13) 0113 Dolphin’s Barn (8) 0208 Newtown Park 0200 Balgriffin (17) 0117 Donaghmede (13) 0113 Oldbawn (24) 0224 Ballinteer (16) 0216 Donnybrook (4) 0204 Palmerstown (20) 0220 Ballsbridge (4) 0204 Drimnagh (12) 0212 Pembroke (4) 0204 Ballybough (3) 0103 Drumcondra (9) 0109 Phibsboro (7) 0107 Ballybrack 0200 Dubber (11) 0111 Porterstown (15) 0115 Ballyedmonduff (18) 0218 Dundrum (14) 0214 Portmarnock 0100 Ballyfermot (10) 0210 Dun Laoghaire 0217 Portobello (8) 0208 Ballygall (11) 0111 East Wall (3) 0103 Priorswood (17) 0117 Ballyogan (18) 0218 Edmonstown (16) 0216 Raheny (5) 0105 Bawnogue (22) 0222 Elm Mount (9) 0109 Ranelagh (6) 0206 Bayside (13) 0113 Fairview (3) 0103 Rathgar (6) 0206 Beaumont (9) 0109 Finglas (11) 0111 Rathmines (6) 0206 Belcamp (17) 0117 Firhouse (24) 0224 Ringsend (4) 0204 Blackrock 0200 Four Courts (7) 0107 Riverside (17) 0117 Blanchardstown (15) 0115 Foxrock (18) 0218 Rockbrook (16) 0216 Bluebell (12) 0212 Goatstown (14) 0214 Roebuck (14) 0214 Bohernabreena (24) 0224 Griffith Ave. (9) 0109 S.C.R (8) 0208 Cabinteely (18) 0218 Harmonstown (5) 0105 Sandford (6) 0206 Cabra (7) 0107 Howth (13) 0113 Sandyford (18) 0218 Cappagh (11) 0111 Inchicore (8) 0208 Sandymount (4) 0204 Carrickmines (18) 0218 Irishtown (4) 0204 Santry (9) 0109 Castleknock (15) 0115 Island Bridge (8) 0208 Shankill (18) 0218 Chapelizod (20) 0220 Jamestown (11) 0111 Skerries 0100 Churchtown (14) 0214 Jobstown (24) 0224 Stepaside (18) 0218 Clondalkin (22) 0222 Kilmacud 0200 Stillorgan 0200 Clonee (15) 0115 Kilmainham (8) 0208 Sutton (13) 0113 Clonliffe (3) 0103 Kilmashogue (16) 0216 Tallaght (24) 0224 Clonshaugh (17) 0117 Kilnamanagh (24) 0224 Terenure (6) 0206 Clonsilla (15) 0115 Kilshane (11) 0111 The Coombe (8) 0208 Clontarf (3) 0103 Kilternan (18) 0218 Ticknock (18) 0218 Coolock (5) 0105 Kimmage Rd. (6w) 0206 Wadelai (11) 0111 Corduff (15) 0115 Knocklyon (16) 0216 Walkinstown (12) 0212 Cornelscourt (18) 0218 Malahide 0100 Whitechurch (16) 0216 Cremore (11) 0111 Marino (3) 0103 Whitehall (16) 0216 Cruagh (16) 0216 Merchants’ Qy. (8) 0208 Whitehall (9) 0109 Crumlin (12) 0212 Merrion (4) 0204 Windy Arbour (14) 0214

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• Please note that HIPE does not collect Eircode unique identifiers for addresses.

15. Patient status on discharge

Refers to the public/private status of the patient and not to the type of bed occupied. Either public or private must be specified.

Enter appropriate code:

1 - Public

2 - Private Where the patient has a discharge status of Private the Health Insurer of the patient will be collected where applicable. The coder will have the option to

select from the following list: For private patients, the number of days in a public/private/semi-private or ITU bed in a single and multiple occupancy ward/room will also be collected. See

page 11.

16. Day Case

A day case is a patient who is admitted to hospital on an elective basis for care and/or treatment which does not require the use of a hospital bed overnight and who is discharged as scheduled. (Source: Department of Health and Children, September 1993).

Enter appropriate code for Day Case: 0 - No 1 – Yes

17. Day Ward Indicator

If the patient is identified as a day case it is necessary to denote that the patient was admitted to a dedicated named day ward. The options presented will be

0 - No 1 - Yes 2 - Unknown.

Hospitals must register their dedicated day wards with the Healthcare Pricing Office prior to using this facility.

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Code Description

1 Voluntary Health Insurance (VHI)

2 Laya (formerly Quinn Healthcare)

3 Irish Life Health (formerly Aviva)

5 Company Insurance plan (ESB etc.)

6 State employee insurance (Prison Officer, Garda, Army)

7 GloHealth

8 Not stated

9 Other

0 No Insurance

18. Day Ward Identifier

If the answer to Day Ward Indicator is 1 – Yes, the pre-registered Day Ward name must be entered to identify the day place where the patient was treated.

19. ITU/ICU days (where applicable) This identifies the number of days, or part thereof, the patient spent in an intensive care

environment e.g. ICU/ITU/CCU/HDU/NITU etc. Where part of day is spent in ICU the allocation of public/private/semi- private days (see

below) can be adjusted accordingly. a) Total number of days† in an ITU/ICU bed Where the patient status on discharge is private the following will also be collected:

• Number of days in an ITU/ICU bed– single occupancy room/ward # • Number of days in an ITU/ICU bed – multiple occupancy room/ward #

20. Number of days (where applicable) in a:

Private Bed a) Total number of days† in a Private Bed Where the patient status on discharge is private the following will also be collected:

• Number of days in a Private bed – single occupancy room/ward #

• Number of days in a Private bed – multiple occupancy room/ward #

Semi-private bed b) Total number of days† in a Semi-private bed Where the patient status on discharge is private the following will also be collected:

• Number of days in a Semi-private bed – single occupancy room/ward # • Number of days in a Semi-private bed – multiple occupancy room/ward #

21. Number of days (where applicable) in a:

Public bed a) Total number of days† in a Public bed Where the patient status on discharge is private the following will also be collected:

• Number of days in a Public bed – single occupancy room/ward # • Number of days in a Public bed – multiple occupancy room/ward #

The following guidelines apply to 19, 20 and 21 above;

The midnight census can be used to determine the number of days spent in these environments. If the patient spends less than 1 day in these environments and is not present at the time of the midnight census, a stay of less than one day can optionally be recorded as ‘1’ day.

† The total number of days in a private/semi-private/public bed are based on the designation of the bed and not the public/private status of the patient.

# Number of days in single/multiple occupancy rooms/wards are collected where Patient status on Discharge = 2 (private) ONLY.

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22. Consultant Identifiers Each consultant has a unique number (4 digit code) assigned by the HPO which may not be used for any other consultant. When a consultant (including non-permanent consultants) takes up duty a written request for a new (or existing) number is sent to the HPO. All consultant numbers are encrypted on export to the HPO. Notes: - For data entry purposes, where the entire case is handled by one consultant his/her code number need only be entered opposite the principal diagnosis.

- If more than one consultant is involved in a case the relevant consultant code number will be placed opposite the relevant diagnoses/procedures. See ICS 0027

Multiple Coding.

- Specialty of A Case: A specialty code is assigned to the case on the basis of the specialty assignment of the consultant associated with the principal diagnosis.

The specialty assignment of the consultant is determined locally. All specialty codes are listed at the end of this instruction manual. The specialty code of the discharge

consultant is also collected. Consultant Types: 22(a) Primary Consultant The primary consultant is the consultant who has overall responsibility for the case. If

there is no clear information in the chart on the identity of the primary consultant, the code for the discharge consultant will be used.

22(b) Admitting Consultant The admitting consultant is the consultant who admits the patient. If there is no clear

information in the chart on the identity of the admitting consultant, the code for the primary consultant will be used.

22(c) Discharge Consultant and Specialty The discharge consultant is the consultant who discharges the patient at the end of

the episode.

22(d) Specialty of Discharge Consultant The specialty of the discharge consultant.

22(e) Consultant Anaesthetists The consultant anaesthetist should be recorded next to the procedure where a

coded anaesthetic was administered as part of the procedure. The operating consultants’ and consultant anaesthetists’ codes will also be repeated against the anaesthetic code for the procedure.

If there is no coded anaesthetic for a procedure then there will be no code entered for the consultant anaesthetist. The existing coding standard on the administration of local anaesthetic (ACS 0031) continues to apply and, as such, neither local anaesthetics nor the consultants who administer them should be coded.

Anaesthetics administered by a non-anaesthetist will record the particular consultant’s code.

22(f) Intensive Care Consultant Consultant codes are assigned for Intensive Care Consultants/Consultant Intensivists

when a patient spends any time in an intensive care environment and this is documented in the chart. Codes for up to ten Intensive Care Consultant/Consultant Intensivists can be entered on the patient’s HIPE record.

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23. Procedure Dates A procedure date is collected for all coded procedures. The principal procedure is

sequenced first regardless of the date performed. See ICS 002X Date for Each Procedure Performed.

24. Ward Identification

The ward identifier can be up to 6 characters in length.

• Admitting ward:

The ward to which the patient is formally admitted. If the admission ward is unclear the coder should determine the ward based on the midnight census.

• Discharge ward:

The ward occupied prior to discharge.

(Source: Department of Health & Children CX06/2006)

25. Temporary leave days (where applicable)

For all discharges the number of temporary leave days will be collected to “enable the collection of information on the number of days during an in-patient stay where the patient is not in the hospital and has been temporarily sent home.” (Source: Department of Health & Children CX06/2006)

There will be a single HIPE record to include the total length of stay in days from the patient’s original admission to the eventual final discharge.

This field will not be collected where:

• A patient is considered to be “clinically discharged” but continues to reside in a bed for a number of days prior to being transferred to another facility.

• Where a patient is temporarily sent to another hospital for a day to undergo a particular procedure.

• Where the patient returns home during a day and returns before midnight.

• Where a patient returns home for more than three days and is readmitted after this.

26 . Number of days in a Critical Care Bed (where applicable)

This field will record the number of days a patient spent in a Level 2, Level 3 or Level 3s critical care bed using the definitions used by the Critical Care Programme 1

• The number of days is to be based on the midnight census • Intensive care beds are considered to be non-designated and as such are neither

public nor private • This information is collected for all patients • The ‘number of days in a critical care bed’ field is not related to the ‘number of

days in a ITU bed’ field and should be collected separately. This field is to distinguish level 2, level 3 and level 3s beds from other types of ICU/ITU beds.

1http://www.hse.ie/eng/about/Who/clinical/natclinprog/criticalcareprogramme/modelofcare/c

riticalcare.pdf

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27. Parity (see also ICS V9.0, HIPE Guidelines for Administrative Data; Parity)

Collection of the patient’s parity is mandatory for all cases with admission type “6 Maternity”. For this variable, two separate integer (whole) numbers are collected to record:

• The number of previous livebirths

• The number of previous stillbirths (over 500g)

For multiple births, each birth is counted. The current pregnancy is not included.

Where information is available, parity may be collected for all other females regardless of admission type.

Please note the following:

• Please use ‘0’ to record where there are no previous live births and/or stillbirths.

• If the number of previous live births or the number of previous stillbirths is not documented this will be recorded as NA (not available).

28. Hospital Reference Number for HPO Use:

A 3 digit code allocated to your hospital by the HPO for HIPE operational purposes and is automatically assigned by the data entry software. This code is for HPO operational use only. It differs from the 4-digit Hospital Code List (see page 16) which are used for transfers and to identify the hospital that the patient attends (see item 1 on page 3).

29. Medical Discharge Date/ Medically Fit for Discharge Date Where a clinician documents and dates that a patient is medically fit for discharge a date can be collected. Where a “medical discharge date” is not documented the field will default to the discharge date of the patient. This date will be collected from 1.1.2017. Further information will follow.

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• Batch Coding Facility for Radiotherapy and Dialysis Episodes A program is available to facilitate the collection of same day radiotherapy

and dialysis episodes. Please contact the Healthcare Pricing Office for information on

this software.

• Optional Field: Date of transfer to a Pre-Discharge Unit/Rehab

(where applicable)

A date may be collected to identify when a patient was transferred to a Pre- Discharge Unit/Rehab within the hospital prior to being discharged as planned.

Prior to collecting this additional field hospitals must register the Pre- Discharge Unit/Rehab with the Healthcare Pricing Office and contact the [email protected] to activate the optional field:

By definition this will not be the same as discharge date.

e.g. A patient is transferred to the Pre Discharge Unit/Rehab of their hospital on 16th March 2017 and is discharged home from the Pre Discharge Unit/Rehab 3 days later on the 19th March 2017.

Date of transfer to Pre Discharge Unit/Rehab

Date of Discharge from Hospital

16 03 2017

19 03 2017

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HOSPITAL CODE LIST (For use with transfers and on download)

Dublin and Mid Leinster Region 0100 St. Mary’s Hospital, Phoenix Park

0101 St. Columcille’s Hospital, Loughlinstown

0102 Naas General Hospital

0106 Cherry Orchard Hospital, Ballyfermot

0201 Midland Regional Hospital, Portlaoise

0202 Midland Regional Hospital, Mullingar

0203 Midland Regional Hospital,Tullamore

Dublin and North East Region

0400 Louth County Hospital, Dundalk

0402 Cavan General Hospital

0403 Our Lady’s Hospital, Navan

0404 Monaghan General Hospital

0922 Our Lady of Lourdes Hospital, Drogheda

0108 Connolly Hospital Blanchardstown

Western Region

0300 Midwestern Regional Hospital, Dooradoyle

0301 Midwestern Regional Maternity Hospital Limerick

0302 Midwestern Regional Orthopaedic Hospital, Croom

0304 Midwestern Regional Hospital, Nenagh

0305 Midwestern Regional Hospital, Ennis

0500 Letterkenny General Hospital

0501 Sligo General Hospital

0502 Our Lady’s Hospital, Manorhamilton

0800 Galway University Hospitals

0801 Merlin Park University Hospital, Galway [From June 2011 the use of code 0801 is invalid. All transfers to/from Galway University Hospital and the hospital

previously known as Merlin Park are now identified using the code for the single entity ‘Galway University Hospitals’ 0800]

0802 Mayo General Hospital

0803 Roscommon County Hospital

0805 Ballina District Hospital

0919 Portiuncula Hospital, Ballinasloe

Southern Region

0600 University Hospital Waterford (Ardkeen)

0601 St. Luke’s General Hospital, Kilkenny

0602 Lourdes Orthopaedic Hospital, Kilcreene

0605 Wexford General Hospital

0607 South Tipperary General Hospital, Clonmel

0608 Our Lady’s Hospital, Cashel

0701 St. Mary’s Orthopaedic Hospital, Gurranabraher

0703 Mallow General Hospital

0704 Bantry General Hospital

0705 St. Finbarr’s Hospital, Cork

0724 Cork University Hospital (Includes Cork University Maternity Hospital)

0725 Erinville Hospital, Cork (Closed March 2007)

0726 Kerry General Hospital 15

Voluntary Hospitals

0901 Adelaide Hospital, Dublin

0903 Meath Hospital, Dublin

0904 St. James’s Hospital, Dublin

0908 Mater Misericordiae University Hospital, Dublin

0910 St. Vincent’s University Hospital, Elm park

0912 St. Michael’s Hospital, Dun Laoghaire

0913 Mercy University Hospital, Cork.

0915 South Infirmary/Victoria, Cork

0918 St. John’s Hospital, Limerick

0923 Beaumont Hospital, Dublin

0925 Peamount Hospital, Newcastle

0930 Coombe Women and Infants University Hospital, Dublin

0931 National Maternity Hospital, Holles St, Dublin

0932 Rotunda Hospital, Dublin

0934 Waterford Maternity Hospital

0940 The Children’s University Hospital, Temple St, Dublin

0941 Our Lady’s Children’s Hospital, Crumlin

0943 National Children’s Hospital, Harcourt St

0945 St. Anne’s Hospital, Dublin

0946 Hume St. Hospital, Dublin

0947 St. Luke’s Hospital, Rathgar

0948 St Luke's Radiation Oncology Network - St James's Centre

0949 St Luke's Radiation Oncology Network - Beaumont Centre

0950 Royal Victoria Eye & Ear Hospital, Dublin

0954 Incorporated Orthopaedic Hospital, Clontarf

0955 Cappagh National Orthopaedic Hospital,

0956 St. Mary’s Auxiliary Hospital, Baldoyle

0960 Nat. Rehabilitation Hospital (NRH), Dun Laoghaire

0978 Our Lady’s Hospice, Harold’s Cross, Dublin

1225 St. Joseph's Unit, Harold’s Cross

1270 Adelaide, Meath Incorporating National Children’s Hospital (AMNCH), Tallaght

1762 St. Joseph’s Hospital, Raheny

1001 Blackrock Hospice

Other Acute Hospitals (not in Hospital Code List above) 9030 Acute Hospital in Northern Ireland

9031 Acute Hospital in England

9032 Acute Hospital in Scotland

9033 Acute Hospital in Wales

9040 Acute Hospital in France

9041 Acute Hospital in Germany

9050 Acute Hospital in the United States of America

9060 Private Hospital

9099 Other Acute Hospital

16

Department of Health

Database list of consultant specialties 0100 Cardiology

0300 Dermatology

0400 Endocrinology

0402 Diabetes Mellitus

0600 Otolaryngology (ENT)

0601 Paediatric ENT

0700 Gastro-Enterology

0800 Genito-Urinary medicine

0900 Geriatric medicine

0902 Psychogeriatric medicine

1100 Haematology

1102 Transfusion Medicine

1300 Neurology

1302 Paediatric Neurology

1400 Neurosurgery

1402 Paediatric Neurosurgery

1500 Obstetrics/Gynaecology

1502 Obstetrics

1503 Gynaecology

1600 Oncology

1700 Ophthalmology

1702 Neuro-Ophthalmic Surgery

1703 Vitro-Retinal Surgery

1800 Orthopaedics

1802 Paediatric Orthopaedic Surgery

1900 Paediatrics

1902 Paediatric Cardiology

1903 Paediatric Oncology

1904 Neonatology

1905 Paediatric Endocrinology

1906 Paediatric Gastro-enterology

1907 Paediatric Haematology

1908 Paediatric A/E (ED) Medicine

1909 Paediatric Infectious Diseases

1910 Paediatric Metabolic Medicine

1911 Paediatric Nephrology

1912 Paediatric Respiratory Medicine

1913 Perinatal Paediatrics

1914 Paediatric Physical Handicap

1915 Paediatric Dermatology

1916 Paediatrics Development

17


Database list of consultant specialties Contd. 2000 Plastic Surgery

2003 Maxillo-Facial

2100 Psychiatry

2102 Child/adolescent Psychiatry

2103 Forensic Psychiatry

2104 Substance Abuse

2105 Old Age Psychiatry

2106 Rehabilitation Psychiatry

2200 Radiology

2202 Paediatric Radiology

2203 Neuroradiology

2300 Nephrology

2400 Respiratory Medicine

2500 Rheumatology

2600 General Surgery

2602 Gastro-Intestinal Surgery

2603 Hepato-Biliary Surgery

2604 Vascular Surgery

2605 Breast Surgery

2700 Infectious Diseases

2702 Tropical

2800 Accident & Emergency

3000 Rehabilitation Medicine

3002 Spinal paralysis

5000 General Medicine

6000 Audiological Medicine

6100 Public Health Medicine

6200 Clinical Neurophysiology

6300 Clinical Pharmacology

6400 Clinical Physiology

6500 G.P. Medicine

6700 Clinical (Medical) Genetics

6800 Mental Handicap

6900 Nuclear Medicine

18


Database list of consultant specialties Contd.

7000 Dental Surgery

7001 Oral Surgery

7002 Orthodontics

7100 Occupational Medicine

7200 Paediatric Surgery

7300 Palliative Medicine

7400 Pathology

7500 Radiotherapy

7600 Cardio-Thoracic Surgery

7700 Metabolic Medicine

7800 Urology

7802 Renal Transplantation

7803 Paediatric Urology

7900 Clinical Immunology

8000 Anaesthetics

8002 Intensive Care

8003 Pain Relief

8004 Paediatric Anaesthetics

8300 General Pathology

8400 Chemical Pathology

8402 Paediatric Chemical Pathology

8500 Histopathology

8502 Neuropathology

8600 Biochemistry

8700 Cytology

8800 Immunology

8900 Microbiology

8902 Virology

9000 Other

19

Coding Schemes Used in HIPE in Ireland

2015 8th Edition ICD-10-AM/ACHI/ACS for both

Diagnoses and Procedures 2009 – 2014 6th Edition ICD-10-AM/ACHI/ACS for both

Diagnoses and Procedures

2005 – 2008 4th Edition ICD-10-AM for both Diagnoses and Procedures

1999 – 2004 ICD-9-CM (Oct 98 version) for both


1995 – 1998 ICD-9-CM (Oct 94 version) for both Diagnoses and Procedures

1990 – 1994 ICD-9-CM (Oct 88 version) for both


1981 – 1989 ICD-9 for Diagnoses and OPCS Procedures classification

1969 – 1980 ICD-8 for Diagnoses and OPCS1 Procedures

classification

1Office of Population Censuses and Surveys (OPCS) 1975, Classification of Surgical

Operations, Second Edition, London

20

Dates for Download and Export in 2017

21

HIPE Export Month Download All Cases Final Receipt Date By HPO:

Day Date

End of December 2016 31.12.2016 (2016) Thursday 05.01.2017

End of January 2017 31.01.2017 Friday 03.02.2017

End of February 2017 28.02.2017 Friday 03.03.2017

End of March 2017 31.03.2017 Wednesday 05.04.2017

End of April 2017 30.04.2017 Thursday 04.05.2017

End of May 2017 31.05.2017 Tuesday 06.06.2017

End of June 2017 30.06.2017 Wednesday 05.07.2017

End of July 2017 31.07.2017 Thursday 03.08.2017

End of August 2017 31.08.2017 Tuesday 05.09.2017

End of September 2017 30.09.2017 Wednesday 04.10.2017

End of October 2017 31.10.2017 Friday 03.11.2017

End of November 2017 30.11.2017 Tuesday 05.12.2017

End of December 2017 31.12.2017 Thursday 04.01.2018

2017 INSTRUCTION MANUAL - HPO

Documents